Business Forms

The following documents are provided to assist you in your practice.
If you need assistance, please call Customer Service at 800.298.6050 ext. 1.

Payment Authorization Form (Documents delivery of product to patient)
New Shoe Break-in Instructions
Supplier Standards (Medicare Form) (Provided to patient during fitting session)
Referral Forms (Cover Letter for Referring Physician)
Referral Forms (Statement of Certifying Physician)
Warranty/Return Policy on Shoes